Home Health & Hospice

Fees | MaineHealth Home Health & Hospice

Effective 4/12/2023

Procedure
Code 
Home CareFee
G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, up to 2 hours  $210
G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each additional hour after the first 2 hours$60
G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, up to 2 hours$151
G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each additional hour after the first 2 hours$60
S9110Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month$210
G0151Services performed by a qualified physical therapist in the home health or hospice setting, each visit$217
G0157Services performed by a qualified physical therapist assistant in the home health or hospice setting, each visit$130
G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each visit$200
G0153Services performed by a qualified speech-language pathologist in the home health or hospice setting, each visit$310
G0155Services of clinical social worker in home health or hospice settings, each visit$190
G0156Services of home health/hospice aide in home health or hospice settings, up to 2 hours$105
G0156Services of home health/hospice aide in home health or hospice settings, for each additional hour after the first 2 hours$35
G8780Counseling for diet and physical activity performed$120
Procedure
Code 
Hospice CareFee
Q5001Hospice or home health care provided in patient's home/residence (1-60 days)$225
Q5002Hospice or home health care provided in assisted living facility (1-60 days)$225
Q5003Hospice care provided in nursing long term care facility (LTC) or non-skilled nursing facility (1-60 days)$225
Q5001Hospice or home health care provided in patient's home/residence (61+ days)$175
Q5002Hospice or home health care provided in assisted living facility (61+ days)$175
Q5003Hospice care provided in nursing long term care facility (LTC) or non-skilled nursing facility (61+ days)$175
Q5001Continuous Hospice or home health care provided in patient's home/residence$65
Q5002Continuous Hospice or home health care provided in assisted living facility$65
Q5003Continuous Hospice care provided in nursing long term care facility (LTC) or non-skilled nursing facility$65
Q5009Continuous Hospice or home health care provided in place not otherwise specified$65
Q5010Continuous Hospice or home health care provided in hospice residential facility$65
Q5005Inpatient Respite Care in inpatient hospital$495
Q5006Inpatient Respite Care in inpatient hospice facility$495
Q5005General Inpatient Care in inpatient hospital$1,115
Q5006General Inpatient Care in inpatient hospice facility$1,115